Individual
MRS. SAMANTHA E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2663
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH28697
FL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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